69. Identify the appropriate actions in the prevention of thrombophlebitis in a client on bedrest. Select all that apply.
69. Identify the appropriate actions in the prevention of thrombophlebitis in a client on bedrest. Select all that apply.
. Elevate the knee gatch of the bed.
. Encourage exercises that dorsiflex and plantar flex the ankle.
. Apply sequential compression devices bilaterally.
. Prevent dehydration.
. Periodically elevate the feet and lower legs above level of heart.
. Apply warm, moist packs bilaterally to lower legs.
Test-Taking Tip
Look for strategies to prevent venous stasis and improve venous return.
Content Area: Adult Health, Vascular; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Therapeutic Procedures
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Answer 1 is incorrect because gatching the bed in the area of the knees reduces venous return. Answer 2 is correct because these exercises prevent venous pooling. Answer 3 is correct because use of such devices prevents venous pooling. Answer 4 is correct because dehydration increases RBC concentration, resulting in sluggish circulation. Answer 5 is correct because this will increase venous return and reduce venous stasis from dependent positioning. Answer 6 is incorrect because heat will cause vasodilation and venous pooling.